565800366-4-7-2025-29-AS-KLOZ-DG7TRP-20250429145752

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565800366
Report Date: 04/07/2025
Date Signed: 04/07/2025 04:49:14 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/29/2024 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20240529165126

FACILITY NAME:	ATRIA HILLCREST		FACILITY NUMBER:	565800366
ADMINISTRATOR:	ADAM SYNCHEFF		FACILITY TYPE:	740
ADDRESS:	405 HODENCAMP RD		TELEPHONE:	(805) 373-0606
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91360
CAPACITY:	207	CENSUS:	DATE:	04/07/2025
		UNANNOUNCED	TIME BEGAN:	01:58 PM
MET WITH:	Gudalupe Ambriz, Community Business Director		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Resident was confined by staff
Staff did not safeguard resident's funds
Staff are attempting to poison resident
Staff mismanaged resident's medication

INVESTIGATION FINDINGS:

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A subsequent complaint visit was conducted today to deliver final findings for the above allegations. During this visit, LPA met with Gudalupe Ambriz, Community Business Director and explained the reason for the visit.

Following is a summary of the allegations and investigation finding:
Regarding allegation - Resident was confined by staff – Information was provided that resident #1 did not feel safe at the facility - no supporting information was provided (no specific incident, no names, date or time). On 05/31/2024, LPA Cortez initiated the investigation and discussed allegation with the facility representative. On 03/27/2025, LPA Chochian conducted a subsequent visit and reviewed records from 11:30 a.m. – 12:30 p.m.; LPA conducted interview with three (3) staff and eight random residents from approximately 1:30 p.m. – to 4 p.m. Staff reported that no resident was mistreated or confined by any staff. Random resident interviews expressed that they feel safe at the facility and have not been mistreated in anyway. Potential witnesses interviewed revealed that the staff are kind and attentive to all residents; no mistreatment observed. (Continue to LIC9099c).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20240529165126

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: ATRIA HILLCREST	FACILITY NUMBER: 565800366
	VISIT DATE: 04/07/2025

NARRATIVE

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Staff denied ever confining R1 or any resident of the facility. According to staff and other potential witnesses interviewed, R1 was provided with appropriate care services. Based on the above information gathered, although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Resident was confined by staff” is deemed unsubstantiated at this time.

Regarding allegation - Staff did not safeguard resident's funds – It was reported that staff are stealing money from R1. On 03/27/2025, LPA reviewed records from 11:30 a.m. – 12:30 p.m . LPA also conducted interview with three (3) staff and eight random residents from approximately 1:30 p.m. – to 4 p.m. Staff reported that resident funds are not handled by facility staff. Staff denied stealing monies for resident. Random resident interviews did not reveal any financial abuse. Potential witnesses interviewed revealed that R1’s finances were handled by R1's responsible person. Interviews revealed no evidence of any financial abuse. Based on the above information gathered, although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, allegation “Staff did not safeguard resident's funds” is deemed unsubstantiated at this time.

Regarding allegations - Staff are attempting to poison resident and Staff mismanaged resident’s medication – It was reported that R1’s was refusing to take medications due to fear of facility "trying to poison R1”. No specifics or identifying information was provided for the allegations. On 05/31/2024 and 03/27/2025, staff were interviewed and denied the allegation. Staff reported that R1 was not consistent with taking medications (amlodipine and Seroquel). Review of R1’s medication records revealed/confirmed that R1 was consistently refusing to take medications; physician and family were aware. Staff and potential witnesses interviewed reported that due to R1 being non-compliant with medications, R1 showed increasing signs of paranoia, delusions and had high blood pressure; resulting in hospitalization (9/2024); later discharged to a Skilled Nursing Facility where R1 passed away in 11/2024. Based on the above information gathered, although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, allegations “Staff are attempting to poison resident and Staff mismanaged resident's medication” are deemed unsubstantiated at this time.

Exit interview conducted. Copy of report provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2025

LIC9099 (FAS) - (06/04)

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